Provider Demographics
NPI:1639785744
Name:PREMIER PSYCHIATRY INC
Entity Type:Organization
Organization Name:PREMIER PSYCHIATRY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BAYANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:MIHTAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:858-453-4441
Mailing Address - Street 1:8899 UNIVERSITY CENTER LN STE 305A
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92122-1013
Mailing Address - Country:US
Mailing Address - Phone:858-453-4441
Mailing Address - Fax:858-623-8519
Practice Address - Street 1:8899 UNIVERSITY CENTER LN STE 305A
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92122-1013
Practice Address - Country:US
Practice Address - Phone:858-453-4441
Practice Address - Fax:858-623-8519
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-23
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty